| NPI | 1255496543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 044752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 173764) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-10-24 |